Plasma D-dimer levels are a biomarker for in-hospital complications and long-term mortality in patients with traumatic brain injury

Autor: Xinli Chen, Xiaohua Wang, Yingchao Liu, Xiumei Guo, Fan Wu, Yushen Yang, Weipeng Hu, Feng Zheng, Hefan He
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Molecular Neuroscience, Vol 16 (2023)
Druh dokumentu: article
ISSN: 1662-5099
DOI: 10.3389/fnmol.2023.1276726
Popis: IntroductionTraumatic brain injury (TBI) is a major health concern worldwide. D-dimer levels, commonly used in the diagnosis and treatment of neurological diseases, may be associated with adverse events in patients with TBI. However, the relationship between D-dimer levels, TBI-related in-hospital complications, and long-term mortality in patients with TBI has not been investigated. Here, examined whether elevated D-dimer levels facilitate the prediction of in-hospital complications and mortality in patients with TBI.MethodsOverall, 1,338 patients with TBI admitted to our institute between January 2016 and June 2022 were retrospectively examined. D-dimer levels were assessed within 24 h of admission, and propensity score matching was used to adjust for baseline characteristics.ResultsAmong the in-hospital complications, high D-dimer levels were associated with electrolyte metabolism disorders, pulmonary infections, and intensive care unit admission (p 20 mg/L (aHR 3.635, 95% CI 2.195–6.018; p
Databáze: Directory of Open Access Journals